Healthcare Provider Details

I. General information

NPI: 1841825700
Provider Name (Legal Business Name): REBECCA BEGANS LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/10/2020
Last Update Date: 09/11/2025
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1348 BAINBRIDGE ST
PHILADELPHIA PA
19147-1810
US

IV. Provider business mailing address

1316 N 7TH ST
PHILADELPHIA PA
19122-4312
US

V. Phone/Fax

Practice location:
  • Phone: 215-563-0652
  • Fax:
Mailing address:
  • Phone: 703-328-9190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06250600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: